The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1397
7
1
gregorian
2018
10
1
26
6
online
1
fulltext
fa
بررسی ارتباط بین مصرف دخانیات و کیفیت زندگی در مردم یزد
Evaluating the relation between smoking and quality of life among the population of Yazd
اپیدمیولوژی
Epidemiology
پژوهشي
Original article
<strong><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">مقدمه:</span></span></span></strong><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> کیفیت زندگی به عنوان یک پیامد مهم و قابل اندازه</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گیری در مطالعات حوزه پزشکی شناخته شده. هدف از این مطالعه بررسی ارتباط بین کیفیت زندگی و مصرف دخانیات در شهرستان یزد می</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">باشد</span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">.</span></span></span><br>
<strong><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش بررسی:</span></span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">این مطالعه مقطعی تحلیلی، با استفاده از داده</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">های مطالعه سلامت مردم یزد (یاس) با حجم نمونه 8725 نفرانجام شد.</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">به</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">منظور اندازه</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">گیری کیفیت زندگی از پرسش</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نامه </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SF8</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> استفاده گردید</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">.</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> داده</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ها از طریق آزمون</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">های کروسکال والیس و من ویتنی و رگرسیون لجستیک و با استفاده از نرم افرار </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">SPSS20</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> مورد تجزیه و تحلیل قرارگرفت.</span></span></span><br>
<strong><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج:</span></span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تفاوت معنی</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">داری در کیفیت زندگی افراد سیگاری و غیر</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">سیگاری پیدا شد (001/0></span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، افراد سیگاری از کیفیت زندگی پایین</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تری نسبت به افراد غیرسیگاری برخوردار بودند</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">.</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> این تفاوت در ابعاد سلامت عمومی (001/0></span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، شادابی (001/0></span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، و عملکرد اجتماعی (014/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">P=</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، و هم</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">چنین دو بعد کلی جسمانی (001/0</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p=</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">) و روانی (001/0></span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">) کیفیت زندگی، نیز دیده شد</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">.</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> در این مطالعه مصرف سیگار (81/1-31/1</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">:</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">95%</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">CI</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">54/1</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">OR=</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، و قلیان</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">(56/1-11/1</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">:</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">95%</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">CI</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">32/1</span></span></span><span style="color:black;"><span style="font-size:12.0pt;">=</span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">OR</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، از عوامل خطر در کیفیت زندگی پایین شناخته شدند.</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تجزیه و تحلیل برهم</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">کنش آماری بین سیگار کشیدن با متغییرهای دموگرافیک در ارتباط با کیفیت زندگی نشان داد که افراد جوان و سیگاری نسبت به افراد سالمند و سیگاری (08/8-56/1</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">:</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">95%</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">CI</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">55/3</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">OR=</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، و افراد مجرد سیگاری نسبت به افراد متاهل سیگاری (89/3-44/1</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">:</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">95%</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">CI</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">37/2</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">OR=</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">)، از کیفیت زندگی پایین تری نسبت به سایرین برخوردار بودند. هم</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">چنین افراد سیگاری و شاغل نسبت به افراد سیگاری و بیکار از کیفیت زندگی بهتری برخوردار بودند (983/0-513/0:</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">95%</span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> CI</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> 711/0 </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">=</span></span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">OR</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">).</span></span></span><br>
<strong><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج این مطالعه پیشنهاد می</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">کند که تفاوت معنی</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">داری در کیفیت زندگی افراد در ارتباط با وضعیت استعمال دخانیات آن</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ها وجود دارد.</span></span></span>
<strong>Introdution:</strong>. Quality of life is an important and measurable outcome in the field of medicine; The aim of the present study was to evaluate the relation between smoking and quality of life in the city of Yazd<span dir="RTL">.</span><br>
<strong>Methods:</strong> This analytical - cross-sectional study was performed using Yazd Health Study (YaHS) data with a sample size of 8725 people<strong>.</strong> SF8 (Short Form 8 Health Survey) questionnaire was used for evaluating the quality of life. Data were analyzed through Kruskal-Wallis, Mann-Whitney and Logistic regression tests.<br>
<strong>Results:</strong> There was a significant difference between the quality of life in smokers and non-smokers and the quality of life was significantly lower among smokers compared to non-smokers (p < 0.001) . This difference was observed in the dimensions of general health (p < 0.001), cheerfulness (p < 0.001) and social performance (p = 0.014) as well as in two general dimensions of physical (p = 0.001) and mental (p < 0.001) quality of life. In the present study, smoking cigarette (OR=1.54, CI 95%: 1.31-1.81) and hookah (OR=1.32, CI 95%: 1.11-1.56) were considered as risk factors for low quality of life. Analyzing the statistical interaction between smoking cigarette and quality of life-related demographic characteristics has shown that young smokers compared to old smokers (OR=3.55, CI 95%: 1.56-8.08) and single smokers compared to married smokers (OR=2.37, CI 95%: 1.44-3.89) had a higher chance of being in the low quality of life classification. In addition, employed smoker compared to unemployed smoker had a lower chance of low quaility of life (OR=0.711, CI95%: 0.513-0.983).<br>
<strong>Conclusion:</strong> The results of this study suggest that there are significant differences in quality of life according to the smoking status.
کیفیت زندگی,استعمال دخانیات,SF8
Quality of life, SF-8, smoking, Iran
495
507
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-3341-1&slc_lang=fa&sid=1
Masoud
Mirzaei
مسعود
میرزایی
mirzaeim@mailfa.com